Individual
KELSIE LYNNE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1035 CHARLEVOIX DR STE 100, GRAND LEDGE, MI 48837-2223
(517) 622-6475
(517) 622-1242
Mailing address
1035 CHARLEVOIX DR STE 100, GRAND LEDGE, MI 48837-2223
(517) 627-2181
(517) 622-1242
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6801114644
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801114644
STATE LICENSE NUMBER
MI
Enumeration date
08/19/2022
Last updated
03/28/2024
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